AUTUMN J THERRIEN

LEWISTON, ME
NPI1760772388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ME  3142)
Enumeration Date2011-04-15
Last Update Date2011-04-15
Business Address
-- AUTUMN J THERRIEN RDH
19 PETTINGILL ST
LEWISTON, ME 04240-5903
Phone number: 207-513-1197
Mailing Address
-- AUTUMN J THERRIEN RDH
PO BOX 314
LEWISTON, ME 04243-0314
Phone number: 207-513-1197